Provider Demographics
NPI:1689793184
Name:OVERMAN, CINDA MARIE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CINDA
Middle Name:MARIE
Last Name:OVERMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7926 SARGENT RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1835
Mailing Address - Country:US
Mailing Address - Phone:317-849-6090
Mailing Address - Fax:
Practice Address - Street 1:7926 SARGENT RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1835
Practice Address - Country:US
Practice Address - Phone:317-849-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002803A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical